Designs Act, 1993 (Act No. 195 of 1993)

Regulations

Purchase

Form D15

Request for certificate or copy

(Section 9, 40 - Regulation 48)

(Lodge in duplicate)

Design application/registration No		Date of lodgement

Full name(s) of applicant(s):

In terms of the following sections and/or regulations:

(a)

section

(b)	regulation

the applicant hereby requests the following:

..................copy/copies of the following document(s):

Certificate(s) for use in:

Documents, if any, lodged in support of the request:

Date:

______________________________________________

APPLICANT/APPLICANT'S AGENT

Address for service:

FOR OFFICIAL USE ONLY

Official date stamp

...............................

The above

copy/copies

certificates

are attached.